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ERIC ED466284: Kids Count in Nebraska: 2000 Report. PDF

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DOCUMENT RESUME ED 466 284 PS 030 408 Johnston, Janet M. AUTHOR Kids Count in Nebraska: 2000 Report. TITLE Voices for Children in Nebraska, Omaha. INSTITUTION Annie E. Casey Foundation, Baltimore, MD. SPONS AGENCY PUB DATE 2000-00-00 41p.; For 1999 report, see ED 445 787. NOTE AVAILABLE FROM Voices for Children in Nebraska, 7521 Main Street, Suite 103, Omaha, NE 68127 ($10). Tel: 402-597-3100; Fax: 402-597-2705; Web site: http://www.voicesforchildren.com. Descriptive Numerical/Quantitative Data (110) PUB TYPE -- Reports (141) EDRS PRICE MF01/PCO2 Plus Postage. Adoption; Birth Rate; Birth Weight; Child Abuse; Child Care; DESCRIPTORS Child Health; Child Neglect; Child Support; Child Welfare; *Children; *Counties; Demography; Divorce; Dropout Rate; Early Childhood Education; Early Parenthood; Economic Status; Elementary Secondary Education; Family (Sociological Unit); Family Violence; Foster Care; Graduation Rate; High School Graduates; Infant Mortality; Juvenile Justice; Lead Poisoning; Lunch Programs; Mental Health Programs; Nutrition; One Parent Family; Prenatal Care; *Social Indicators; Special Education; State Surveys; Statistical Surveys; Substance Abuse; Tables (Data); *Trend Analysis; Violence; Welfare Services; *Well Being; Youth Problems Access to Health Care; Child Mortality; *Indicators; IDENTIFIERS *Nebraska; Out of Home Care; Project Head Start; Risk Taking Behavior; Vaccination ABSTRACT This Kids Count report examines statewide trends and county data on the well-being of Nebraska's children. Section 1 contains a commentary on juvenile justice in Nebraska. Section 2, the bulk of this statistical report, presents findings on indicators of well-being in eight (1) child abuse and neglect/domestic violence (investigated and areas: substantiated cases, reporting, types of abuse, child abuse fatalities in 1999, domestic violence shelters, how domestic violence affects children); (2) early childhood care and education (early childhood development and programs, child care facilities and subsidies, research); (3) economic well-being (TANF, earned income tax credit, single parent families, divorce and child support); (4) education (high school graduates, school dropouts, expelled students, special education); (5) physical and behavioral health (births, prenatal care, low birth weight, births to teens, out-of-wedlock births, immunizations, infant mortality, child deaths, access to health care, blood lead levels, mental health and substance abuse treatment, regional centers, community-based services, youth risk behavior survey); (6) juvenile justice (juvenile arrests, probation, youth rehabilitation and treatment centers, victims of rape, adult jail and parole for juveniles); (7) nutrition (food stamps, USDA nutrition programs); and (8) out-of-home care and adoption (out-of-home care, state foster care review board, children in out-of-home care, licensed and approved foster homes, lack of foster care homes, multiple placements, race and ethnicity, adoption services). Section 3 presents county data notes. Section 4 presents specific county data in table form. Sections 5 Reproductions supplied by EDRS are the best that can be made from the ori inal document. through 7 present information concerning methodology, data sources, definitions, references, and Kids Count Team members. (SD) Reproductions supplied by EDRS are the best that can be made from the original document. 00 N C, (21 r PERMISSION TO REPRODUCE AND DISSEMINATE THIS MATERIAL HAS BEEN GRANTED BY mocre_, Haktily_a_i_g5h U.S. DEPARTMENT OF EDUCATION Office of Educational Research and Improvement EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) TO THE EDUCATIONAL RESOURCES This document has been reproduced as INFORMATION CENTER (ERIC) received from the person or organization 1 originating it Minor changes have been made to improve reproduction quality Points of view or opinions stated in this document do not necessarily represent official OERI position or policy 2000 BEST COPY AVAILABLE A Pub '01/coices for Cis!' 4 "Dressing Up" Nathan, 3 Michelle, 4 Ryan, 8 is a national and state-by-state effort sponsored by the Annie E. Casey Foundation to track the sta- Kids Count tus of children in the United States utilizing the best available data. Key indicators measure the education, social, economic and physical well-being of children. is a children's data and policy project of Voices for Children in Nebraska. An impor- Kids Count in Nebraska tant component of this project is the Technical Team of advisors. The Kids Count Technical Team is comprised of data representatives from the numerous agencies in Nebraska which maintain important information about child well-being. This team not only provides us with information from their databases but advises us on the positioning of their data in relation to other fields of data as well. We could not produce this report without their interest and cooperation and the support of their agencies. Kids Count in Nebraska, sponsored by The Annie E. Casey Foundation, began in 1993. This is the projects eighth report. Additional funding for this report comes from Share Our Strength (S.O.S). photographs featured are all Nebraska children. Several issues and programs may be discussed in Kids Count a particular section. Children featured in each section represent elements of that section but may not be direct- ly involved with all programs or issues discussed therein. Additional copies of the 2000 Kids Count in Nebraska report as well as 1993, 1994, 1995, 1996, 1997, 1998, and 1999 reports, are available for $10.00 from: Voices for Children in Nebraska 7521 Main Street, Suite 103 Omaha, NE 68127 Phone: (402) 597-3100 FAX: (402) 597-2705 www.voicesforchildren.com Portions of this report may be reproduced without prior permission, provided the source is cited as: (Copyright) 2000 Kids Count in Nebraska Credits: "Family" Crystal 14, Albert 6, Selena 3, James, 19 months Cover Photo: Janet M. Johnston, MSW Author: Research Coordinator Janet M. Johnston Photography: Voices for Children in Nebraska 3 Christy Reed, Tilford Printing Design: Kids Count in Nebraska: 200 Commentary '00 Child Deaths I. 2 Access to Health Care Youthful offenders in our Juvenile Justice System: Blood Lead Levels Can we better serve them elsewhere? Mental Health and Substance Abuse Treatment Jails or Inadequate Mental Health Facilities? Regional Centers Why Is This a Concern For Nebraska? Community-Based Services What Should Be Done In Nebraska? Youth Risk Behavior Survey New Investments Needed Alcohol and Other Drugs Beyond a Moral Obligation: Tobacco Use Financial and Public Safety Ramifications Motor Vehicle Crashes IL Indicators of Child Well-Being Teen Sexual Behavior Obesity Dieting and Eating Disorders Child Abuse and Neglect/ Domestic Violence ....4 Investigated and Substantiated Cases Juvenile Justice 17 It's the Law! Juvenile Arrests Types of Abuse Probation Child Abuse Fatalities In 1999 Youth Rehabilitation and Treatment Centers (YRTC) Domestic Violence Shelters Victims of Rape How Domestic Violence Affects Children Adult Jail and Parole for Juveniles Early Childhood Care and Education 6 Nutrition 20 Early Childhood Development Food Stamps Early Childhood Development Programs USDA Nutrition Programs Head Start and Early Head Start School Lunch State Early Childhood Projects School Breakfast Even Start Family Literacy Programs Summer Food Service Early Childhood Special Education and Early Child and Adult Care Food Program Intervention Programs Commodity Distribution Program Child Care Facilities and Subsidies Child and Adult Care Food Program What Research Tells Us Commodity Supplemental Foods Program (CFSP) WIC Economic Well-Being 8 Temporary Assistance to Needy Families (TANF) Out-of-Home Care and Adoption 22 Earned Income Tax Credit Out-of-Home Care Single Parent Families State Foster Care Review Board Divorce and Child Support How Many Children are in Out-of-Home Care? Licensed and Approved Foster Homes Education 10 Lack of Foster Care Homes High School Graduates Multiple Placements School Dropouts Race and Ethnicity Expelled Students Adoption Services Special Education III. County Data Notes 25 Health - Physical and Behavioral 12 Birth County Data 26 IV. Prenatal Care Low Birth Weight Methodology, Data Sources, and Definitions 30 V. Births to Teens -.- 4 VI. References Out-of-Wedlock Births 32 Immunizations VII. Kids Count Team Members 33 Infant Mortality 2000 in Nebraska: Count /Olds 55% of youth in the juvenile justice system have Youthful Offenders In Our Juvenile symptoms associated with clinical depression; half Justice System: Can We Better Serve have Conduct Disorders; up to 45% have Attention- Deficit/Hyperactivity Disorder (ADHD). Them Elsewhere? 1% to 6% have Schizophrenia and other psychotic The Annual Kids Count Report provides an overview of how disorders, a rate significantly higher than that of the / Nebraska's children are faring. The report is divided into general population. issue areas such as Child Abuse, Juvenile Justice and Behavioral and Physical Health. While the data and discus- Up to 19% of youth involved in the juvenile justice sys- sion can be divided into those segments, we know that the tem may be suicidal. children are not so easily segmented. Children often experi- ence various concerns throughout childhood such as moving To compound the problem, at least half of the youth suffering from economic struggles to health deficits and on to violent from mental illnesses also have substance abuse disorders. behaviors. In fact, children are often experiencing multiple According to the CJJ Report, the use of substances may be an and overlapping challenges simultaneously. attempt by youth to self-medicate untreated mental illness. The 1999 Kids Count Report identified significant connect- The dedicated individuals who work with juvenile offenders edness between children whO grow up as victims in violent know well the constant frustration felt by both the staff and households and those who later become abusers. This year, the adolescent, due to the inability of the adolescent to make we're reminded of another unfortunate connection between positive and consistent behavioral changes. Youth often make children who experience mental illness and those who are honest and aggressive attempts to control their own behavior, arrested and incarcerated. Mental health disorders are star- but find themselves in and out of detention facilities through- tlingly high among our general youth population, with an out their young lives. Although the majority of youth in estimated 20% of children and adolescents experiencing detention facilities have not committed violent crimes, they some kind of mental health problem during childhood. remain in these facilities because more suitable placements Unfortunately, mental health services are not so readily avail- are scarce or-do not exist at all. Due to the lack of appropri- able and accessible and untreated mental illness often leads to ate mental health diagnosis and treatment, these same indi- behaviors that result in arrest and incarceration. viduals are likely to be discovered serving recurring jail sen- tences as adults. Recently, the Coalition for Juvenile Justice (CJJ) released their 2000 Annual Report, Handle with Care: Serving the Several studies identify stereotypes'that have always existed Mental Health Needs of Young Offenders, by authors John pigeonholing juvenile offenders as children lacking in morals, Hubner and Jill Wolfson. This report unveils startling facts discipline, and/or respect for adults and property. There is about the high percent of youth in the juvenile justice system strong evidence that this is not always the case. In the CJJ who have a diagnosable mental health disorder, (50-75%). Report, Michael Faenza, president and CEO of the National Hubner and Wolfson describe the troubled childhood of 15- Mental Health Association, states "many of the children and year -old Thomas, who suffered from Bipolar Disorder and adolescents in the nation's juvenile justice system have men- ended up in the Juvenile Justice System due to his difficult tal and emotional health problems that remain untreated, even behaviors. They also cite.numerous statistics revealing thou- though they contribute to the youth's delinquency." sands of children like Thomas in the juvenile justice system. In Nebraska, a significant proportion of youth admitted to the Jails Or Inadequate Mental Health Facilities? youth rehabilitation centers have identifiable mental health and According to the CJJ 2000 Annual Report, recent studies substance abuse treatment needs. In the Juvenile Services show nationally: Master Plan, completed in 1999, a review of female youth residing at YRTC-Geneva revealed that 63% displayed mild 73% of youth in juvenile facilities reported mental health to moderate mental health symptoms and 84% had co-occur- problems during screening; 57% had previously received ring mental health and substance abuse issues. In a sampling mental health treatment. of 50 male youth residing at YRTC-Kearney, reviewed during 5 2 Kids Count in Nebraska: 2000 90% showed indications of mild to mod- Beyond a Moral Obligation - the same time period, \ \90% i Financial and Public Safety RamificatiOn and 76% were dually diagnosed erate mental health symptoms with mental health and substance abuse problems. (An exerpt from the Coalition for Juvenile Justich000Antniaikeliart) The Director of the Kearney YRTC echoes the Providing youth with humane and effective mentalihealth sup- / findngs of the CJJ Report with his concerns i port - a full continuum of care, including prevention, interven- that, "too many of our youth have come to is clearly an ethical and moral tion, treatment and after-care the YRTC from mental health and substance It also makes strong financial and public safety imperative. abuse treatment facilities that were unable sense. Taking: care of youth is taking care of society. to manage their behavior enough to keep I them in the treatment program." ericans spend between $10' and $15 billion on Every year, Am! the juvenile justice system, according to an American Youth !"/ Is Thisi a Concern For Nebraska? Policy Forum publication. Unfortunately', the majority of our 1 'Why i west states in the Nebraska ranks as one of the lo dollars do not go towards the least costly, most effective front- end prevention, intervention and treatment services. country for state ;mental healtli expenditures. Unfortunately,/when mental- illness is not By far the vast majority of our dollars are spent on the most correctly diagnosed or goes untreated, the costly, least effective "solution" to delinquency and Mental ill- adolescents /who are involved with, the - ness, namely, incarceration in traditional, punishment-oriented Ijuvenile justice system often become' . large-scale facilities that have "all too often failed \to yield the justice adults involved -with' the cri m ustice successful results we desire," Says Shay Bilchik, former system. administrator of the OJJDP. Yet, this is where we continue to sink our tax dollars. What Should Be Done In Nebraska? According to Mental Health: A:Report from the Surgeon General, roughly two-thirds of all dollars now spent on The CJJ Annual Report recommepds-preVerition and early intervention as key to resolving these juVenile justice juvenile justice go to housing delinquent and mentally ill community-biased, coordi- youth' in costly lock-ups that provide little or no mental It is necessary to increase issues. health programming like the California Youth Authority ( nated and cross-system programming to successfi.illy treat ado- costs taxpayers $37,000 a year per youth. That is more lescents who are involved 'with( the juvenile-justice system or are likely to become offenders. Unfortunately, Nebraska has than-room, board and tuition at Stanford University. been reluctant to provide adequate funding for these necessary Roughly one-half of all mental health dollars for minors programs. %pay for inpatient hospitalization, and another 25 percent is New Investments Needed -ispent to place youth into residential facilities and group We hope this will change as the next biennium budget process homes. The cost of Thomas' ineffective therapeutic lock- begins. Nebraska needs to invest significantly in a full array up? $7,000 a month, or $84,000 a year. of mental health services before children enter the juvenile jus- Such staggering price tags might be more understandable if the tice system and while they are being served in that system. administrators could provide data that proves they get positive Prevention and early intervention services may provide treat- results. But here, the law of commerce perversely works in ment that will deter the youth from criminal activity, reducing reverse. You don't get what you pay for. Nebraska's reliance on the juvenile justice system. Two of Nebraska's six mental health regions of the state have signifi- According to the U.S. Surgeon General David Satcher, 75 per- cant grants from the Substance Abuse and Mental Health cent of youth treated in costly traditional residential mental Administration (SAMHSA) to provide wrap-around services health treatment centers were either readmitted to a mental to children and families with mental health needs. In the health facility or incarcerated within seven years of release. Lancaster County area, a special emphasis is also placed on families with children in the juvenile justice system. The time And virtually every study examining recidivism among youth is right for lawmakers to identify a significant source of fund- sentenced to juvenile training schools in the past three decades ing (perhaps a combination of tobacco settlement funds, gen- has found that at least 50 to 70 percent of offenders were rear- eral funds and funds earmarked-from a use-tax) to create an within one or two years after release, according to an appropriate continuum of care. American Youth Policy Forum report. Kids Count in Nebraska 2000 am aura HoolloWDomestk Memo Ages of Children in Substantiated Investigated anal Substantiatea Cases Cases of Child Abuse and/or According to the Department of Health and Human Services (HHS), there were 13,857 calls alleging child abuse and neg- Neglect for 1999 lect received by HHS. Of the calls received by HHS, 8,455 were investigated in calendar year 1999. It is important to note 1500 that not all calls reporting child abuse and neglect are investi- 1,150 11 gated because the information reported does not always meet 918 1000 the legal criteria warranting an investigation. To further com- J 709 plicate analysis, research shows that over half of actual cases 545 of abuse go unreported. Of the 8,455 investigated reports, 500 2,183 were substantiated involving 3,472 Nebraska children. This is a 17.7% decrease in the total number of involved chil- 59 dren over calendar year 1998 averaging 1.6 children per case in 0 1999. This 17.7% reduction appears to be due to a difference 9-12 13-16 0-4 5-8 17+ in how data is captured by HHS' new computer system, N- Source: HHSS ages FOCUS/CWIS. Previously the computer system recorded all * 91 cases did not have victim's age identified children in the household as victims when there was only sub- stantiation for one child. Although studies show that children who witness violence can have the same responses and behav- Statistically substantiated cases are more likely to involve iors as children who have been abused directly, only those chil- young children: an estimated 2,068 or 59.5% of the substanti- dren whose abuse has been officially substantiated are now ated cases involved children ages 0-8. This does not necessar- recorded in the computer system as an abuse statistic. HHS ily mean that children ages 8 and under are more likely to be initiated this change in reporting to ensure that perpetrators It is possible that the abuse, especially neglect, of abused. who have maltreated one child are not identified as having younger children is more evident and more likely to be report- maltreated others if, in fact, they have not. Nebraska has a ed. Based on Health and Human Services estimates approxi- 26% substantiation rate which is comparable to the 1998 mately 27.6% of substantiated cases involve children ages 0-3. National Child Abuse and Neglect Data System "substantiat- Out of the 3,472 children involved in substantiated cases of ed" or "indicated" rate of 29.2%. abuse and neglect 727 or 20.9% were age 2 or under. In 1999 there were 1,774 female children and 1,672 male children involved in substantiated cases. Hospital discharge records show males as the most likely perpetrator of physical abuse resulting in the need for medical assistance. According to the hospital records, the male abuser is most likely the spouse or partner of the child's mother. Investigated and Substantiated Cases of Child Abuse and/or Neglect, 1989-1999 °saes Inveatigtateci and Su bate ntlated 10,000 8,455 8,439 13,140 93 7, 7 8,000 8 7, 92 6 000 3, 40 4,000 2,3 6 2,1 2,000 Cases Investigated Cases Substantiated Source. HHSS Note: There may be more than one child Involved In each Immatigatedfaubetantletect case. Count Nebraska: Kids 2000 14 tense lect/Domostic and Abuse Nog MOM How Domestic Violence Affects Children It's the Law! Nebraska's network of domestic violence/sexual assault Citizens who suspect or have witnessed child abuse or programs collected information on a total of 6,705 neglect are required by Nebraska law to report the incident Nebraska children living in homes where domestic vio- to their local law enforcement agencies or to Child lence occurred. The majority, 79% or 5,328, of these chil- Protective Services. dren witnessed the violence and 10% or 672 were physi- Although many child abuse reporters, 21.2%, prefer to Children who witness violence in their cally harmed. remain anonymous, law enforcement/legal agencies are homes are six times more likely to commit suicide, are 24 the most frequent identified reporters, 19.2%, and schools times more likely to commit sexual assault crimes, and are second, 11.7%. It is important to note only 1.4% of all have a 50% greater chance of abusing drugs and/or alco- reports come from child victims themselves. There are Voices for Children, the Domestic Violence and hol.' several possible reasons why children do not report their Sexual Assault Coalition, and HHS have formed a coali- abuse. Children have strong loyalties to their parent. They tion: The goal of this collaboration is to better identify and fear the possible consequences for their parents and/or the address the intersection between domestic violence and perpetrator and themselves and often the perpetrator has child abuse. threatened them resulting in fear of more serious abuse if they tell. Types of Abuse The three main classifications for child abuse are neglect, physical abuse, and sexual abuse. Children can experience V more than one classification of abuse and therefore Health and Human Services records all types of abuse that apply QUOTES FROM NEBRASKA 6111 GRADERS to each individual child's situation. Neglect has consis- tently been found to be the most commonly substantiated "Children need to be protected in all ways because we are the future and the laws need to preserve the form of child maltreatment. A caregiver is found guilty of future." neglect if they have not provided emotionally, physically, and/or medically for a child. Infants and children who are "I think that kids are treated unfairly everyday and 1 labeled failure to thrive are often the result of neglect. think it should stop! Something must be done now or it will be harder later. We must take an active Child Abuse Fatalities in 1999 role." There were 0 child abuse fatalities recorded to Nebraska A total of 13 deaths of children recorded in "There shouldn't be abuse and I think it should be a big- 1999. ger law. Abuse can kill you, scare you, and make you Nebraska children have been attributed to child abuse keep secrets. Abuse is scary and I never want to be from 1990-1999. abused myself. Abuse laws should be there not only for children and babies; you have to think about the abuse Domestic Violence Shelters of adults, pets, and the abuse of forest and the environ- There are 22 adult domestic violence/sexual assault pro- ment. Abuse happens everyday and it really should grams in Nebraska's network of Domestic Violence come to an end." Sexual Assault Programs. From July 1, 1998 through June Source: Comments from Nebraska sixth graders: 30, 1999 these programs provided information and sup- The Kid's Rights Survey given by the United States port to13,594 adults, 815 adolescents and 5,685 children. Junior Chamber of Commerce. Over 4,000 women and children, 1,821 adults and 2,212 adolescents/children, were provided shelter. A total of 100,029 meals were provided to adults and children from July 1, 1998 to June 31, 1999. The network's crisis line received 110,174 calls, 101,597 domestic violence and 8,577 sexual assault, during June 1998 - July 1999. 8 If you need to report an incident of child abuse/neglect please call Child Protective Services 1-800-652-1999. 5 N000 Nobra9ka. Count Kids ood ffciffly DAM catgoo ore mica' Ed Early Childhood Development 507 children (duplicated count) and are administered through The quality of early childhood care and education programs local schools. They include two serving parenting teens, two has been found to have a direct effect on the way children func- offering primarily parent education, five providing part day tion throughout their lives. "The quality of interactions that services, and one full working day program. All center-based parents and caregivers have with young children dramatically programs are required to be accredited. Evaluation of the impacts early brain and language development. "i These inter- projects has been ongoing since they began in 1992. Funding actions influence physical, emotional and mental development for the programs has not been increased since 1996. in children, basically all aspects of life are affected. Even Start Family Literacy Programs Early Childhood Development Programs in Nebraska There are seven federally funded Even Start Literacy programs currently funded in Nebraska, providing services to 220 fami- Head Start and Early Head Start lies. These programs are an effort to break the cycle of pover- Federally funded Head Start programs provide comprehensive ty and illiteracy and improve the educational opportunities of health, education, and nutrition services to low income fami- low-income families through integration of early childhood lies with infants and young children prenatally to age 5. The education, adult literacy or adult basic education, and parent- program focuses on cognitive, social, and emotional develop- ing education. ment in preparation for school and provides support to families. Early Childhood Special Education and Early Research shows that children who participate in Head Start Intervention Programs perform better in school and eventually in employment than In 1999, Early Childhood Special Education and Early those children of similar circumstances who are not Head Start Intervention programs served 3,071 children ages 0 through participants. Head Start Programs are not available in 21 of the age 5 who have verified disabilities. These children are pro- 93 Nebraska counties. vided services through their local school districts from birth to age 3 in a collaboration between Health and Human Services Approximately 8,202 of children ages 3 and 4 live below the and Education. poverty line in Nebraska according to the Head Start Regional Office. There is Head Start funding available to meet the needs of less than half of the eligible 3 and 4 year old children in Nebraska. National Head Start expenditures for 1999 totaled How many of Nebraska s 8,186 eligible 4.6 billion. Nebraska's Head Start expenditures totaled $25,437,904 in 1999, the majority of the funds, $21,000,000, 3-and 4-year-old children are were federal funds while state general funds covered the bal- ance. Migrant Head Start used $616,940 in funds, which is not enrolled in Head Start programs for 1991.1999? counted in the Nebraska Head Start funds, and served 84 children. Head Start served a total of 3,815 children ages 3 and 4 in 1999, a slight decrease from the previous year. Ten percent of Head Start enrollment is reserved for children with disabilities. 8,000 Estimated income eligible, based on the Five Head Start Programs also recieved additional child care 1990 Census. (8,202) funds as grants to offer full day services. In response to impor- w tant information about brain growth in infants and young chil- 6,000 dren the Head Start Bureau also funds Early Head Start 2 Programs. In 1999, there were eight Early Head Start grants in U Nebraska serving 638 pregnant women and/or children ages 0 0 3,815 4,000 3,700 3,680 to 3. ,483 2,820 E 3 State Early Childhood Projects z 2,000 Ten communities combine existing resources with small state grants of $50,000 each to offer integrated child development programs. These Early Childhood Projects currently serve 999 9 Source: Region VII Administration for Children and Families l6 Count Nebraska: 2000 /Olds

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